Cabral Isaias Vieira, da Silva Garcia Edgard, Sobrinho Rebecca Neponucena, Pinto Natália Lana Larcher, Juliano Yara, Veiga-Filho Joel, Ferreira Lydia Masako, Veiga Daniela Francescato
Division of Plastic Surgery, Department of Surgery, Universidade do Vale do Sapucaí, Pouso Alegre, MG, Brazil.
Medical School, Universidade do Vale do Sapucaí, Pouso Alegre, MG, Brazil.
Aesthetic Plast Surg. 2018 Apr;42(2):388-395. doi: 10.1007/s00266-017-1009-6. Epub 2017 Nov 9.
BREAST-Q™ is a patient-reported outcomes survey instrument with a specific module that evaluates breast reduction surgery. It allows assessment of patient's satisfaction with received treatment and evaluates the impact of surgery on different aspects of the patient's quality of life. This article aims to assess the satisfaction and quality of life of patients who underwent reduction mammaplasty.
Women aged between 18 and 60 years, with a body mass index ranging from 19 to 30 kg/m, who were already scheduled for reduction mammaplasty, were included in the study. The Brazilian version of the BREAST-Q™ Reduction/Mastopexy Module (preoperative 1.0 and postoperative 1.0 versions) was self-applied preoperatively and 1 and 6 months after the operation.
One hundred and seven patients were included in the study and completed the 6-month follow-up. The median age was 33 years, and the median preoperative body mass index was 25 kg/m. The superomedial pedicle was used in 96.3% of the cases, and the total median weight of the resected breast was 1115 g. There was a significant improvement in the scores of the scales: Psychosocial well-being, Sexual well-being, Physical well-being, and Satisfaction with the breasts compared to the preoperative assessment (p < 0.0001). The scales Satisfaction with the NAC and Satisfaction with the outcome, available only in the postoperative version, demonstrated high satisfaction rates at the two postoperative periods evaluated.
Reduction mammaplasty improved the quality of life and provided high levels of patient satisfaction with outcomes 1 and 6 months postoperatively.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
BREAST-Q™是一种患者报告结局调查工具，有一个专门评估乳房缩小手术的模块。它能评估患者对所接受治疗的满意度，并评估手术对患者生活质量不同方面的影响。本文旨在评估接受乳房缩小整形术患者的满意度和生活质量。
年龄在18至60岁之间、体重指数在19至30kg/m之间且已安排进行乳房缩小整形术的女性被纳入研究。术前、术后1个月和6个月由患者自行填写巴西版BREAST-Q™乳房缩小/乳房上提模块（术前1.0版和术后1.0版）。
107例患者纳入研究并完成了6个月的随访。中位年龄为33岁，术前中位体重指数为25kg/m。96.3%的病例采用了上内侧蒂，切除乳房的总中位重量为1115g。与术前评估相比，心理幸福感、性幸福感、身体幸福感和对乳房的满意度量表得分有显著改善（p<0.0001）。仅在术后版本中有的对乳头乳晕复合体的满意度和对手术结果的满意度量表，在两个评估的术后时期显示出高满意度。
乳房缩小整形术改善了生活质量，并在术后1个月和6个月为患者提供了对手术结果的高度满意度。
证据级别IV：本刊要求作者为每篇文章指定证据级别。有关这些循证医学评级的完整描述，请参阅目录或作者在线指南www.springer.com/00266 。
